Individual
ANDREW TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-5488
Mailing address
222 FOREST PARK PL, OTTAWA, IL 61350-1124
(815) 830-0762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.518044
IL
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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